Effect of oxytocin infusion versus tranexamic acid on reducing blood loss during hysteroscopic myomectomy: a randomized controlled trial

Background: Women undergoing hysteroscopic myomectomy are prone to significant blood loss and hematological disturbances. Oxytocin is a uterotonic drug, used mainly in obstetric practice. Tranexamic acid is a haemostatic drug that has been used to reduce blood loss after trauma and in many surgeries. The aim of our study was to compare the safety and efficacy of oxytocin versus tranexamic acid in reducing perioperative blood loss during hysteroscopic myomectomy.Methods: This study included 60 patients scheduled for hysteroscopic myomectomy allocated into 2 groups: group A: received 10 mg/kg of tranexamic acid slowly intravenous after induction of anesthesia, while group B: received infusion of 10 IU of oxytocin at a rate of 400 mIU/min throughout the procedure. Preoperative and postoperative hemoglobin and hematocrit levels, need for blood transfusion, duration of operation, complications and medications adverse effects were recorded.Results: The 2 groups were comparable in terms of the mean difference between preoperative and postoperative hemoglobin a hematocrit levels, operative time, operative complication and medications’ adverse effects. No patients needed blood component transfusion in either group.Conclusions: It can be concluded that tranexamic acid and oxytocin are equally effective in reducing blood loss and transfusion requirements during hysteroscopic myomectomy with comparable good safety profiles. Both of them can be used according to availability and surgeon preferences

Pre and postharvest characteristics of Dahlia pinnata var. pinnata, cav. As affected by SiO2 and CaCO3 nanoparticles under two different planting dates

Agriculture faces many challenges because of climate changes. The nutrients present in nano-sized form improve plant productivity, especially when used at the appropriate planting time. Field experiments were conducted as a factorial experiment for evaluating two planting dates (20th September and 20th October), foliar application with nanoparticles (NPs) including silica nanoparticles (SiO2-NPs) at 1.5 and 3 mM, calcium carbonate nanoparticles (CaCO3-NPs) at 5 and 10 mM and distilled water (control) on pre- and post-harvest characteristics of Dahlia pinnata var. pinnata Cav. The results indicate that the interactions during the late planting time (20th October) and exogenous applications of SiO2-NPs at 1.5 mM or CaCO3-NPs at 10 mM have improved plant growth including plant height, stem diameter, fresh and dry weights of plant, leaf area, inflorescence diameter, inflorescence stalk length, branches number, tuber numbers, inflorescences number on the plant, and the vase life. At the same time, insignificant differences appeared in the interaction during the planting dates and SiO2 or CaCO3 -NPs concentrations on inflorescence stalk diameter, total soluble solids, membrane stability index, maximum increase in fresh weight (FW), and Si and Ca contents. In addition, all exogenous applications of NPs at the late planting time promoted the plant growth characteristics like lignin %, cellulose %, inflorescence water content, change in FW, and total water uptake. Moreover, the controls through the two planting dates recorded the maximum change in water uptake and water loss values. In short, it can be recommended to use SiO2-NPs at 1.5 mM or CaCO3-NPs at 10 mM as a foliar application at the late planting time (20th October) for obtaining the optimum quantitative and qualitative parameters of D. pinnata